Provider Demographics
NPI:1417298803
Name:FAROOQI, GISELA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:GISELA
Middle Name:
Last Name:FAROOQI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6024 SW 160TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5809
Mailing Address - Country:US
Mailing Address - Phone:786-301-1669
Mailing Address - Fax:
Practice Address - Street 1:6024 SW 160TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5809
Practice Address - Country:US
Practice Address - Phone:786-301-1669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist